Republic of the Philippines)

City of Tacloban
) S.S.

AFFIDAVIT OF SINGLENESS
I, Roberto M. Andillo, Filipino, of legal age, presently residing at Lot 54 Cluster III, Brgy.
64, Bliss Sagkahan, Tacloban City, after having been duly sworn to in accordance with law,
depose and say:
1. That I am SINGLE;
2. That under Philippine Laws, I have no legal impediment to contract marriage;
3. That I am aware that bigamy and perjury are punishable under the laws of the
Republic of the Philippines;
4. That I am executing this affidavit for the purpose of getting married.
IN WITNESS WHEREOF, I have hereunto affixed my hand this ___ day of August, 2014 in
Tacloban City.

ROBERTO M. ANDILLO
Affiant
CTC No. : _______________
Issued At: _______________
Issue On : _______________

SUBSCRIBED AND SWORN to before me this _____ day of ___________________, 2014,

affiant exhibiting to me his Community Tax Certificate above-written.

Book No. _______________

Page No. _______________
Doc. No. _______________
Series No. _______________

NOTARY PUBLIC